growth and ageing Flashcards

1
Q

growth can involve 2 cellular changes, what are these?

A
  • increase in cell numbers (hyperplasia)

- increase in cell size (hypertrophy)

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2
Q

which cells cannot regenerate?

A

neurons

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3
Q

growth can be affected by which 2 factors?

A
  • genetic

- environmental

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4
Q

humans have 2 main growth phases, when are these?

A
  • birth

- around 12

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5
Q

name hormones that influence growth

A
  • thyroid hormone
  • growth hormones
  • sex hormones
  • insulin
  • cortisol
  • parathyroid hormone
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6
Q

thyroid hormone is essential for normal growth and development, what role does it play?

A
  • essential fro protein synthesis in foetal/infant brain
  • required for normal development of neurons
  • necessary for childhood growth
  • facilitate action of growth hormone and sympathetic nervous system
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7
Q

what effect might hypothyroidism have on a growing child?

A
  • impede brain and skeletal growth
  • delayed tooth eruption
  • growth defects
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8
Q

what re the metabolic actions of growth hormone?

A
  • increase blood glucose
  • decrease glucose uptake by cells
  • increased lipolysis (make fatty acids available)
  • facilitate uptake of amino acids for proteins synthesis
  • cartilage/bone/soft tissue/viscera growth
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9
Q

describe hypothyroid dwarfism

A
  • missing thyroid hormone

- infant proportions

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10
Q

describe hypopituitary dwarfism

A
  • missing growth hormone

- normal proportions

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11
Q

which 2 hormones are responsible for the pubertal growth spurt?

A

oestrogen and testosterone

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12
Q

the effects of oestrogen and testosterone are mediated by an increase in which 2 hormones?

A

GH and IGF-1

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13
Q

what effects do oestrogen and progesterone have on bone growth?

A
  • stimulate bone growth

- accelerate closure of epiphyseal growth plates

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14
Q

describe the anabolic effect of testosterone

A

-effect on protein synthesis increasing muscle bulk

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15
Q

insulin has no direct effect on growth, how does it contribute indirectly?

A
  • promote foetal growth
  • promote post-natal growth by stimulating IGF-1
  • facilitate protein synthesis
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16
Q

cortisol, when present in high levels, has what effect on growth?

A

inhibits it

17
Q

what effects does cortisol have on growth?

A
  • stimulate protein catabolism

- suppress bone growth and promotes resorption

18
Q

what role do Vii D and parathyroid hormone play in growth?

A
  • ensure adequate amounts of calcium and phosphate areavaailable for bone formation
  • Vit D absorbs calcium from gut
  • PTH raises plasma calcium levels
19
Q

what effect does excess growth hormone have on children?

A

accelerates growth - gigantism

20
Q

what effect does excess growth hormone have on adults?

A

acromegaly

21
Q

which bone enlargens due to pituitary tumour?

A

sella turcica

22
Q

what is the name for defective cartilage growth?

A

achondroplasia

23
Q

what is the definition for ageing?

A

gradual deterioration of all parts of the body

24
Q

what happens to cells during ageing?

A
  • decline in the ability of them to divide
  • as they divide there is an accumulation of damage (error in DNA, abnormal proteins, damaged organelles)
  • free radicals